| NPI | 1932291200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY MULL Director 570-271-6144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 207Y00000X Otolaryngology |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2019-02-28 |